Reiterer E, Borkenstein M H
Klinischen Abteilung für Endokrinologie und Diabetologie der Universitätsklinik für Kinder- und Jugendheilkunde, Graz.
Acta Med Austriaca. 2003;30(4):107-9.
Etiology and clinical manifestation of subclinical hypothyroidism is different in neonates and in young. In the neonatal period babies present with jaundice and/or constipation due to thyroid hypoplasia, thyroid ectopia or transient hypothyroidism. The main reason for subclinical hypothyroidism in the youth is Hashimoto thyroiditis. Indication for thyroxin therapy in subclinical hypothyroidism is discussed controversial in the literature. For best growing and maturation in childhood thyroxin therapy should be given. Subclinical hyperthyroidism is rare in childhood. The main reasons are Graves' disease or Hashimoto thyroiditis (initial period). The therapy of subclinical hyperthyroidism is the same as in overt hyperthyroidism.
亚临床甲状腺功能减退在新生儿和年轻人中的病因及临床表现有所不同。在新生儿期，由于甲状腺发育不全、甲状腺异位或暂时性甲状腺功能减退，婴儿会出现黄疸和/或便秘。年轻人亚临床甲状腺功能减退的主要原因是桥本甲状腺炎。关于亚临床甲状腺功能减退患者甲状腺素治疗的指征，文献中的讨论存在争议。为了儿童的最佳生长和发育，应给予甲状腺素治疗。儿童亚临床甲状腺功能亢进很少见。主要原因是格雷夫斯病或桥本甲状腺炎（初期）。亚临床甲状腺功能亢进的治疗与显性甲状腺功能亢进相同。
